거골 내측 결절에 발생한 골연골종과 통풍 발작에 의한 발목 내측 충돌 증후군: 증례 보고

• Published in: 대한족부족관절학회지 Vol. 28; no. 1; pp. 31 - 35
• Main Authors: 경민규, 전동준, 이동연, Min Gyu Kyung, Dongjun Jeon, Dong Yeon Lee
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.03.2024
• Subjects: 정형외과학; Talus; Osteochondroma; Gout; Impingement
• ISSN: 1738-3757; 2288-8551
• DOI: 10.14193/jkfas.2024.28.1.31

Osteochondromas are benign bone tumors typically found in the metaphyseal region of long bones. These tumors are often asymptomatic and detected incidentally. However, their occurrence in atypical sites such as the talus can pose significant diagnostic and treatment challenges. This report describes a rare case of osteochondroma of the medial tubercle of the talus, which is an unprecedented location based on a review of relevant literature. A 28-year-old male presented with worsening medial ankle pain and limping. Imaging revealed a lesion consistent with osteochondroma contributing to medial ankle impingement syndrome. Uniquely, this case also featured a coinciding gout attack in the ankle joint. Surgical removal of the lesion resulted in significant symptom relief and functional improvement. This case underscores the need to consider rare diagnoses, such as talar osteochondroma, when presented with persistent medial ankle pain and highlights the potential presence of concurrent conditions, such as gout.